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In this category there are a number of disorders that patients may be at risk for that the dentist may recognize.

 Narcolepsy Type 1ICD‐10‐CM code: G47.411

Narcolepsy may have many of the same symptoms as sleep apnea, especially daytime sleepiness. Oftentimes it is difficult to make a distinction and if suspected it is advisable to refer the patient to a sleep medicine specialist. This form of narcolepsy has also been referred to narcolepsy with cataplexy, a sudden loss of muscle weakness associated with emotions.

 Narcolepsy Type 2 ICD‐10‐CM code: G47.419

This type of narcolepsy is also referred to as Narcolepsy without cataplexy. The symptoms are similar to type 1 narcolepsy.

 Idiopathic hypersomnia ICD‐10‐CM code: G47.11

The symptoms here may be similar to SRBD as it relates to daytime sleepiness. Further investigation of this should be done.

It has been proposed that this condition may actually represent another form of narcolepsy that is being termed narcolepsy Type 3 [7]. This has the potential to better define the disorder, improve reimbursement, and most importantly enhance the pharmacologic management.

 Hypersomnia due to a medical disorderICD‐10‐CM code: G47.14

This may be present because of an underlying medical or neurologic disorder. A more in‐depth history needs to be obtained to determine if it may be related to a medical condition.

 Hypersomnia due to medication or substance

This may be due to medications that have the potential for sedation, when there is the potential for substance abuse or when the patient is withdrawing from the use of stimulants. Abuse of alcohol should be a concern. This condition is also of concern when prescribing medications that may be sedating.

 Hypersomnia associated with a psychiatric disorder

This applies to anyone who has been diagnosed with depression or may be at risk for depression and may be suspect for having excessive sleepiness as a symptom.